Individual
MRS. COLLEEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
84 DANBURY RD, WILTON, CT 06897-4450
(203) 563-9360
Mailing address
84 DANBURY RD, WILTON, CT 06897-4450
(203) 563-9360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA.001168
CT
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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